Forms
NMSIIS User Security and Confidentiality Agreement
Immunization - Form
January 4, 2021
User security and confidentiality agreement for the New Mexico Statewide Immunization Information System.
NMSIIS Participant Organization Security and Confidentiality Agreement
Immunization - Form
January 4, 2021
Participant organization security and confidentiality agreement for the New Mexico Statewide Immunization Information System.
NMSIIS Decision to Remove Record
Immunization - Form
January 4, 2021
This form is used by a patient/parent/legal guardian to remove records from the New Mexico Statewide Immunization Information System.
NMSIIS Decline to Participate Form
Immunization - Form
January 4, 2021
This form is used by a patient/parent/legal guardian to decline to participate in the New Mexico Statewide Immunization Information System.